Done once, hip steroid injections show “continued response in 1/3 of cases. I would never do once a frozen shoulder injection just once so one sees that the “One Shot Wonder” society is a alive and well. Their volume was way too high to be a hip injection.
Continue reading “How Effective are Hip Steroid Injections?”
Not uncommonly, patient will come with palate-throat pains. Often there is not much to find but when they start describing nerve-like shooting pains, one is suspicious of something amiss. The Hamular process pokes on the palate and can cause pains. Something to consider.
Continue reading “Odd Palate-Throat pain could be Pterygoid Hamular Bursitis”
Aromatase Inhibitors used in post menopausal cases of estrogen receptor positive breast cancers are notorious for causing arthalgias. There are apparently 3 inhibitors:
Arimidex (chemical name: anastrozole)
Aromasin (chemical name: exemestane)
Femara (chemical name: letrozole)
About 1/4 of patients stop the drug within 2 years due to those complaints. 3.4 g/day omega 3 in patients with BMI >30 helped the pain (but not in thinner subjects).
Continue reading “Omega 3 Helps Aromatase Inhibitor Breast Cancer treatment Pains in Obese Subjects”
Signs of catching and locking are found equally often in mechanical knee pains and in meniscus tears. They cannot be relied upon.
Continue reading “Knee Meniscus Signs Do not Help in Diagnosis”
PBS is fraught with problems related to “heterogeneity” – some a neurologically based and some are inflammatory based for example. Finding any measure to work is a difficulty in dealing with “subtypes’. What we do know at this stage is the those with Hunner’s ulcer lesions in bladder(blood in urine would suggest it), would benefit from fulguration. A new innovation is an anti – tumor necrosis factor agent called Certolizumab. Though results with Crohn’s were seen in 2 week, it took 18 weeks for PBS to respond – so initial disappointment but not really since results were eventually seen.
Continue reading “Painful Bladder Syndrome (PBS) -What’s New”
Continue reading “Herbal PEA (Palmitoylethanolamide) May Cut Migraine Problems by 50%”
Recently discovered that there is a whole subset of neck sciatica/cervical radiculopathy that does not have MRI evidence of disc protrusion but give a much increased history of remote shingles episode. It is suggested this is herpes zoster without rash – ie. Zoster sine Herpete. This condition was recently compared to shingles with rash and found to have pains that are worse and last longer.
Continue reading “Shingles Without Rash – Long Term Pain Especially Neck-Arm Radiculopathy”
Injecting 5 mls D5W under Ultrasound control resulted in equal results of D5W vs triamcinolone 30 mg for first 3 months – then D5W better.
Continue reading “Carpal Tunnel – D5W Perineural Injection Under Ultrasound Beats Steroid Injection”
Given Vit D3 (100ug = 4000 IU/day), subjects got reduced levels of migraines that took 3 months to be effective.
Continue reading “Vitamin D Helps Migraines – and Maybe Backs too”
Topical Olive Oil can reduce pain from 5/10 to 3.75/10 while placebo might drop it to 5/10. I’ve also found mannitol sugar in skin cleanser helps as well.
Continue reading “Topical Olive Oil for Rheumatoid Arthritis Hand Pains”
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